Individual
JESSI MARIE TRUELOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
275 RAINIER AVE S, RENTON, WA 98057-2002
(425) 277-0212
Mailing address
14700 SE PETROVITSKY RD APT C304, RENTON, WA 98058-8970
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60764826
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TRUELJM071LH
DRIVERS LICENSE
WA
Enumeration date
09/22/2017
Last updated
06/16/2018
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